Externally rotated left leg
Bilateral externally rotated tibias
A flat back which may contribute to the flexion dysfunction
Both knees are held in slight flexion
- External rotation of tibias
Single leg stance
- No dorsiflexion of left foot
- Valgus collapse of both knees, mostly left
- The pelvis tilts excessively when standing on one leg especially the left leg indicating lengthened abductors.
- The right leg is internally rotated at mid stance with compensatory lateral rotation of the tibia
- Heel rise occurs significantly earlier on the left foot due to the reduced ankle dorsiflexion (ankle rocker).
- The left leg has to externally rotate to clear the left foot from the floor due to reduced dorsiflexion.
The fact that the clients also tests positive for a slump test on the left leg means that there is also a flexion dysfunction and the pelvis should be kept in a neutral position during motor control exercises.
Manual therapy on the left foot to increase dorsiflexion of the left foot should help lower extremity biomechanics.
- The knees should move over the second toe sand should not pass the feet.
- Effort should be made to externally rotate the knees and not to let them collapse inwards.
- The right foot should not be allowed to move outwards (abduct)
- A heel lift is worn under the left foot to allow for the squat.
- Mild Single leg squats with a left heel raise
- The pelvis should not be allowed to drop or the trunk lean to the side.
- Popliteal exercises to improve internal rotation of the right knee
- The foot is kept flat on the floor and the tibia internally rotated
- A theraband can be used to make the exercise harder
- Hip abductions against a wall with the lower back kept flat against the wall and should not curve
- The heel should be touching the walls it moves up and down